One department and many different specialties make the Ambulatory Surgical Center one of the most challenging healthcare facilities.
This adds to ambulatory surgical center billing and makes it even more complex and hard to handle. Administrative processes are necessary but often leave healthcare providers in a frenzy.
Tired of this constant battle to achieve adequate revenue, healthcare providers search for reliable ways to deal with medical billing.
Their hassle is all about getting positive outcomes, such as efficient revenue cycle management and enhanced workflow.
Ambulatory surgical center billing services are one such option that can eliminate the trouble behind medical billing. Expert handling also leads to better claim processing and profitable returns.
If you are an ambulatory care provider looking for optimal ways to deal with medical billing, then this blog has all the answers for you.
Let’s understand the common issues and learn different ways to handle them.
Classification of Services in Ambulatory Surgical Center Billing
Usually, ambulatory treatments are listed based on the type of facility and reimbursed only when covered by insurance coverage.
Whether a service is eligible for reimbursement depends on ASC guidelines. If healthcare providers render uncovered services, then they suffer revenue loss.
Understanding the difference and being up-to-date with the same is the reason for the medical billing hassle.
What is covered and what is not under ASC services determines if healthcare providers will get their reimbursement.
Here is a list of services that do not fall under the ASC category but are still covered:
- Durable Medical Equipment (DME) made for patients' home use
- Prosthetic devices
- Ambulance services
- Artificial legs, arms, and eyes
- Services rendered by independent labs
- Anesthesia services
These services qualify for independent revenue but are not included in facility services.
Medical Billing and Coding Status of Ambulatory Surgical Center Billing
There are two types of billing: physician billing and hospital billing. This bifurcation is made to define the differences between both types of facilities.
However, ASC is different as it operates on both physician billing and hospital billing. When it comes to coding, ASC uses CPT and HCPCS codes for medical billing.
There are some services where ICD-10 codes are used for claim filing, and this is true for bundled services.
There are rules for device-intensive procedures where healthcare providers are paid only for the device. For claim filing, the procedure code only includes the cost of the device and submits it further.
Other than that, there are CMS regulations that define the terms and conditions of medical billing for ASCs.
This complexity of different codes and various guidelines can be hard for healthcare providers to understand. They need professional services to counter the challenges and fulfill the goal of maximum reimbursement.
This brings us to the point of outsourcing Ambulatory Surgical Center Medical Billing services for optimum revenue results.
There are many benefits to partnering with an outsourcer, and we will discuss them to give you a clear idea of whether to make this shift.
Outsource Ambulatory Surgical Center Billing to Experience a Range of Merits
Let's discuss the merits of outsourcing medical billing services to professionals and see how they can help your ambulatory surgical center.
Complete Coding Assistance
With intricate guidelines, ambulatory coding requires special attention and expert handling. There are various coding updates as well, and healthcare providers need to keep up with them.
When not handled properly, it can lead to errors and denials that further cause revenue leakage. It is hard for healthcare providers to keep track of all the changes in rules and regulations.
Medical billing services work with a team of experts who are adept at being familiar with frequent changes. They provide complete assistance in handling administrative tasks and offer accuracy at every step.
Collection of Revenue
The main reason behind opting for an outsourcing partner for Ambulatory Center surgical medical billing is that they provide skilled management of revenue.
If, in the past, healthcare practices have gone through inefficient claim management, then medical billing services can reverse the adverse effects and improve the medical billing process.
Professional coders and billers understand the precise requirements of healthcare practice and ensure an improvement in the revenue cycle.
They also make sure to align every step efficiently so that there is a significant reduction in errors and denials. They also file claims on time and take measures to enhance the administrative workflow.
Cost Efficiency
Cost is the prime reason healthcare providers want to find effective ways to deal with medical billing. Healthcare providers are always on the lookout for cost-efficient methods to manage administrative tasks.
While maintaining in-house staff, it can become extremely difficult to do it within a financial limit. This is because an in-house team requires a lot of essentials, such as infrastructure and office equipment. Other than that, the staff needs to be paid. If any member takes leave, there can be gaps in the billing process.
But all this is solved with medical billing services, as it is a single investment with profitable results and no delays. This is the most cost-efficient way to handle the burden and improve the revenue cycle.
These were the three important benefits of shifting to medical billing services for ambulatory surgical centers.
However, there are other advantages, such as the expertise of professional billers and HIPAA compliance for the protection of patient data from misuse.
All this concludes that ambulatory surgical centers should leverage such services to maximize their revenue and improve their bottom line.
If you are an ambulatory care provider, then medical billing services can help you achieve adequate reimbursement without any hassle. All in all, you will have more time to prioritize patients and offer quality medical services.
Eminence RCM: Your Medical Billing Expert
Eminence RCM is the right partner who will provide you with the best ambulatory surgical center billing services. We work to eliminate your struggle in medical billing with the help of skilled medical billers.
Eminence RCM is a well-known medical billing company in USA with ambulatory medical billing being our key area of expertise. Our team makes every effort to give your healthcare practice a sound financial position
Get premium ambulatory surgical center medical billing services from us and see the change in your revenue cycle!